Active NPI
Anita L Hoover
- Child Mental Illness Respite Care
- Oro Valley, AZ
National Provider Identifier
1306131917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child Mental Illness Respite Care
- License
- 10680
- Practice address
- 1148 W Purple Leaf CT
Oro Valley, AZ 85755-7407 - Phone
- (520) 575-4609
- Fax
- (520) 296-8244
- NPI assigned
- Jun 10, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child Mental Illness Respite Care | 385HR2055X | 10680 | AZ | Primary |
Addresses
Primary practice location
1148 W Purple Leaf CT
Oro Valley, AZ 85755-7407
Mailing address
1148 W Purple Leaf CT
Oro Valley, AZ 85755-7407
Phone (520) 575-4609
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10680 | Other | AZ | OLCR FOSTER CARE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10680 | AZ | MD | Child Mental Illness Respite Care |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307664000000",
"number": "1306131917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1148 W PURPLE LEAF CT",
"city": "ORO VALLEY",
"state": "AZ",
"postal_code": "857557407",
"telephone_number": "520-575-4609",
"fax_number": "520-296-8244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1148 W PURPLE LEAF CT",
"city": "ORO VALLEY",
"state": "AZ",
"postal_code": "857557407",
"telephone_number": "520-575-4609",
"fax_number": "520-296-8244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOOVER",
"first_name": "ANITA",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-10",
"last_updated": "2011-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "385HR2055X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Mental Illness, Child",
"state": "AZ",
"license": "10680",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OLCR FOSTER CARE LICENSE",
"identifier": "10680",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oro Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.